Decision Self-Efficacy Scale Research Articles

The Effect of Career Course on Career Decision Making Self-efficacy of Senior University Students

The aim of this study is to evaluate the effect of an “Interviewing Skills in Career Counseling” course on the level of career decision-making self-efficacy of senior university students. In this sense, the qualitative-quantitative category of mixed-methods was used. The Career Decision-Making Self-Efficacy Scale and course evaluation form were utilised to examine the effectiveness of this course, consisting of theory and practice for a total of 14 weeks. The experimental group includes of senior students from the Department of Counseling and Guidance who chose the course, while the control group includes of senior students who didn’t choose the course and were studying in the same department. Both groups were administered the Career Decision-Making Self-Efficacy Scale as pre-test and post-test, and in addition to this, an evaluation form was used for the experimental group as a post-test. When the results obtained from the quantitative data are examined, the experimental group made progress and there was a significant difference between the experimental group and the control group in terms of the total score for career decision-making self-efficacy levels and the subscales of career decision-making self-efficacy in terms of job/occupational information, career choice and ways of creating a career plan. The qualitative findings were grouped into three categories: change as a result of the course, limitations and strengths of the implementation.

Factors associated with family decision-making self-efficacy among family members of patients with advanced cancer in mainland China.

In Chinese culture, family members are the main decision maker on end-of-life (EoL) issues for patients with advanced cancer. Yet little is known about Chinese families' confidence in making EoL decisions and its associated factors. This study aims to investigate the status and associated factors of Chinese family members' confidence in making EoL decisions for patients with advanced cancer. This cross-sectional study used a convenience sample of 147 family members of patients with stage III or stage IV cancer from a tertiary cancer center in Guangzhou, China. The questionnaires included demographic information of patients and their family members, patients' EoL preferences, and the Chinese version of the Family Decision-Making Self-Efficacy (FDMSE) Scale. A total of145 family members (98.64%) completed the questionnaires. The average score of FDMSE was 3.92 ± 0.53. A multiple regression analysis showed that the factors associated with FDMSE included patients' duration of disease, health insurance, participation in EoL decision-making, the expression of unfilled wishes, and family members' employment status. Chinese family members were not confident enough in making EoL decisions for patients with advanced cancer. It is recommended to develop cultural-tailored advanced care planning models to clarify patient preferences and to enhance the family members' self-efficacy in making EoL decisions with or for patients with advanced cancer.

Educational Choice and the Willingness to Apply of Higher Vocational Students in Guangdong Province, China: The Mediating Role of Career Decision-making Self-efficacy

The purpose of this study was to explore the influence of educational choice on the intention to enter the examination, and the mediating role of career decision-making self-efficacy. A total of 1391 freshmen from six higher vocational colleges in Guangdong Province of China were investigated with Education Choices Scale, Career Decision-Making Self-Efficacy Scale and Willingness to Apply Scale. The results showed that educational choice and career decision-making self-efficacy had significant effects on the willingness to apply. Career decision-making self-efficacy plays a mediating role in the significant positive impact of educational choice on the willingness to apply. Therefore, China's educational institutions and policy makers should focus on cultivating vocational students' career decision-making self-efficacy and improving their confidence and ability in career decision-making. To help students better understand their interests, values, and career goals, and to help students better understand the career fields they face professionally.

The impact of final-year clinical placements on nursing students' career planning for the graduate year and beyond

AimsThis study had three objectives: 1) to determine final-year nursing students' career preferences and long-term career plans; 2) to investigate factors influencing nursing students' specialty choices following their final-year clinical placement(s); and 3) to understand how final-year clinical placements can be used to develop the career interests of nursing students to different nursing specialties. BackgroundClinical placement provides an insightful experience that may influence students to feel inclined to work in certain specialties. Therefore, each clinical placement should promote students' learning and enhance positive experiences that could develop their career interests and encourage them to seek employment in the specialty on graduation. DesignA cross-sectional online survey. MethodsThe survey was structured using the Career Decision Self-Efficacy Scale – Short Form. The questionnaire was distributed to final-year nursing students (N = 222) at two public universities in Western Australia. This study specifically reports on the Goal selection and Planning domains of the Career Decision Self-Efficacy Scale – Short Form, which were explored through additional questions prompting participants to explain their career preferences and reasons for their nursing specialty choices. ResultsMost participants, fifty-three percent, had low confidence in making career decisions. The Goal Selection and Planning questions measured the students' confidence in choosing a suitable practice destination and preparing for their professional careers. Overall, participants prefer employment in hospital settings both in the short- and long-term aspects of their nursing career. The factors influencing the students' career decisions were classified into three main categories: the clinical environment, educational factors and individual factors. ConclusionsThe nursing curriculum may encourage nursing students to work in some specialties over others. This study provides insight into factors that may promote or inhibit students' career choices and how students may be motivated to pursue the less preferred nursing specialties.

Self-ageism among women in Greece: The role of burnout in career decision-making self-efficacy

The present research attempts to identify the role of age in women’s working lives. It studies the factors and aspects of women’s working lives that are affected by age and whether the burnout they experience affects their self-efficacy in the way they make professional decisions. A cross-sectional online survey was conducted in Greece. To obtain the data a structured, online, self-administered questionnaire was used. The questionnaire consists of 25 questions referring to the variable of burnout (Maslach Burnout Inventory — MBI), 25 questions concerning self-efficacy in career decision-making (career decision self-efficacy scale short form — CDSES-SF), and 25 questions concerning demographic data. The collected data was processed using the R language. The findings show that age and gender are very important factors influencing career development (Aliyev & Tunc, 2015). Age, therefore, plays a key role in women’s working lives (Loretto et al., 2000). The study adds value to existing research on ageism by focusing on the consequences for women’s professional lives in Greece. The findings can help in the formulation and development of targeted interventions to empower women and train them to improve their self-efficacy in terms of professional decision-making.

학교폭력 가해청소년의 진로의사결정과 진로결정자기효능감이 진로준비행동에 미치는 효과

The purpose of this study is to investigate the effect of career decision-making and career decision-making self-efficacy of school-violence perpetrators on career preparation behavior. A total of 250 youths were selected for this study through convenient sampling of the perpetrators who were disciplined by the School Violence Countermeasures Committee or the Student Guidance Committee at general middle and high schools located in J-do. To measure career decision-making, the Career Decision Scale(ACDM) was utilized. Career decision self-efficacy was assessed using the Career Decision-Making Self-Efficacy Scale(CDMSES-SF), and career preparation behavior was measured using the Career Preparation Behavior Scale. Data analysis was conducted using SPSS 21.0 Windows, including correlation analysis, simple regression analysis, and stepwise regression analysis. The results of this study are as follows. First, the career decision-making of the perpetrators of school violence showed a positive correlation with career preparation behavior. Second, the career decision-making self-efficacy of the perpetrators of school violence showed a positive correlation with career preparation behavior. Third, it was confirmed that the effect of career decision-making ability and self-efficacy on career preparation behavior of adolescents who committed school violence had a direct effect on career preparation behavior. This study attempted to contribute to basic research by revealing that career decision-making and self-efficacy had a direct effect on career preparation behavior for adolescents who committed school violence.

UNDERUTILIZATION OF HOSPICE CARE IN OLDER BLACK ADULTS

Abstract Hospice is underutilized in Black Americans despite evidence that Black Americans benefit from hospice services. There are several potential reasons hospice is underutilized in Black Americans including lack of knowledge of hospice, poor opinions of hospice, and low self-efficacy in end-of-life decision-making. Patient decision aids are one technique used to improve patient knowledge and agency in making medical decisions. This research project endeavored to addresses potential barriers to hospice enrollment in Black adults and evaluates if a hospice specific patient decision aid could improve hospice knowledge, opinions of hospice, and decision-making self-efficacy. The study was a pilot randomized controlled trial that enrolled Black adults aged ≥ 65 years. The three primary outcomes for the study included hospice knowledge measured by the Hospice Knowledge Scale, opinions of hospice measured by the Hospice Beliefs and Attitudes Scale, and confidence in making decisions measured by the Decision Self-Efficacy Scale. Additionally acceptability and usability outcomes of the decision aid were collected. All participants completed the three baseline surveys prior to randomization. Those randomized to the intervention were provided with the hospice patient decision aid while those in the control did not receive the decision aid. Hospice knowledge, opinions of hospice, and decision self-efficacy improved from baseline to one-month follow-up in the intervention group, but between group (intervention vs control) differences were not statistically significant. Overall acceptability outcomes were favorable, and participants stated the patient decision aid would be beneficial in facilitating hospice decision making.

Research on the impact of basic psychological needs satisfaction on career adaptability of Chinese college students.

With social changes, the realization of smooth and satisfactory employment of college students is an issue that requires deep thought. Basic psychological needs satisfaction play an important role as a guiding factor that affects students' career adaptability. This study aims to explore the relationship and mechanism between the satisfaction of students' basic psychological needs satisfaction and their career adaptability. A survey is conducted among students from six different universities across the country, using the Basic Psychological Needs Satisfaction Scale, the Career Adaptability Scale, the Career Decision Self-Efficacy Scale, and the Career Outcome Expectations Scale. The satisfaction of basic psychological needs, career decision self-efficacy, and career outcome expectations are all significantly positively correlated with career adaptability.Career decision self-efficacy plays a partial mediating role between basic psychological needs satisfaction and career adaptability among college students. The moderated mediation model found that career outcome expectations play a regulatory role in the effect of career decision self-efficacy on career adaptability. College students' basic psychological need satisfaction can positively predict career adaptability directly and indirectly affect career adaptability through career decision self-efficacy, and career outcome expectations have a moderating role between career decision self-efficacy and career adaptability.

Greater fertility distress and avoidance relate to poorer decision making about family building after cancer among adolescent and young adult female survivors.

Many adolescent and young adult female (AYA-F) cancer survivors face decisions about family building using reproductive medicine or adoption to achieve parenthood. This study evaluated associations among reproductive distress, avoidance, and family-building decision making and identified sociodemographic and clinical characteristics related to high distress and avoidance. A cross-sectional survey assessed AYA-F survivors' oncofertility experiences. Measures included an investigator-designed Unmet Information Needs scale, Reproductive Concerns After Cancer Scale, Impact of Events Scale-Avoidance subscale, Decision Self-Efficacy scale, and Decision Conflict Scale. Two linear regression models evaluated correlates of decision self-efficacy and decisional conflict about family building after cancer. Bivariate analyses evaluated correlates of avoidance using Pearson's correlation, t-test, and ANOVA. AYA-Fs (N=111) averaged 31-years-old (SD=5.49) and 3years post-treatment (range: 1-23years); 90% were nulliparous. Most common diagnoses were leukemia (24%) and breast cancer (22%). Average decisional conflict was 52.12 (SD=23.87, range: 0-100); 74% of the sample reported DCS scores within the clinically significant range. Higher levels of reproductive distress (B=-0.23, p=0.04) and avoidance (B=-0.24, p=0.02) related to lower decision self-efficacy. Younger age (B=-0.18, p=0.03), greater unmet information needs (B=0.33, p<0.001), and higher levels of reproductive distress (B=0.34, p=0.001) related to worse decisional conflict. Predictors of distress and avoidance were identified. After cancer treatment, high fertility distress and avoidant coping were associated with poorer quality decision making about family building after cancer. Fertility counseling post-treatment should support self-efficacy and constructive coping skills to counteract high distress, maladaptive coping, and facilitate values-based decision making.

Evaluation of a Question Prompt List on Treatment Decision-making Outcomes in Women Following Surgery for Breast Cancer: A Randomized Controlled Trial

Background: With advances in healthcare options for the medical management of breast cancer, treatment decision-making has become more complex. Objectives: Guided by self-efficacy theory, the study investigated the impact of a question prompt list (QPL) on decision-making outcomes among women with breast cancer in Iran who were post-surgery. Methods: A randomized controlled trial was conducted at a comprehensive cancer center in Tehran, Iran. Fifty patients were randomized to either a QPL with usual care (n = 25) or to a usual care (n = 25) condition. Data were collected pre- and post-treatment utilizing: 9-item Shared Decision-Making Questionnaire; Decision Self-efficacy Scale; and the Control Preferences Scale. Utilizing SPSS 26 software, descriptive, Shapiro-Wilk test, independent t-test, Fisher's Exact test, and Mann-Whitney U test were used. Results: No differences between the usual care and QPL groups on major study constructs were found (P &gt; 0.05). Conclusions: The QPL did not impact various decision-making outcomes among women with breast cancer post-surgery. Cross-cultural research is needed with larger samples to further examine the impact of decision aids such as QPL on decision-making outcomes for women with breast cancer.

The relationship between professional self-concept and career decision-making difficulties among postgraduate nursing students in China: the mediating role of career decision-making self-efficacy.

In the context of a global shortage, uneven distribution, and structural imbalance of nursing talent, postgraduate nursing students must make appropriate decisions about their careers not only for the nursing profession but also for society as a whole. However, little research has been reported on the current status and factors influencing career decision-making difficulties among postgraduate nursing students. Exploring the mediating role of career decision-making self-efficacy between professional self-concept and career decision-making difficulties among postgraduate nursing students in China based on the social cognitive career theory. 276 postgraduate nursing students from 25 universities in seven administrative regions of China were selected by stratified random sampling. Data were collected with the Career decision-making difficulties Questionnaire, Career Decision-making Self-Efficacy Scale, and Nursing Professional Self-concept Scale through an online survey, and were analyzed by univariate analysis, correlation analysis, multiple linear regression analysis, and PROCESS macro. The score for career decision-making difficulties was 2.84 (SD = 0.54). Professional self-concept (r = -0.496, p < 0.01) and career decision-making self-efficacy (r = -0.551, p < 0.01) were negatively associated with career decision-making difficulties. Career decision-making self-efficacy played a partial mediating role between professional self-concept and career decision-making difficulties (p < 0.01), with the mediating effect (Effect Value = -0.253, Bootstrap 95% CI: -0.349, -0.156) accounting for 53.82% of the total effect. The high scores of career decision-making difficulties among postgraduate nursing students demand widespread attention. Nursing educators need to develop a complete and standardized career counseling curriculum for postgraduate nursing students, and should pay attention to the cultivation and development of positive professional self-concept and career decision-making self-efficacy of postgraduate nursing students to reduce their career decision-making difficulties and help them make effective career decision-making.

Investigation of Protective Factors against Career Stress of Senior University Students Using Mixed Pattern Method

Career stress includes negative career experiences such as encountering career barriers, career indecision. This research aims to analyse and evaluate the protective factors against the career stress of senior university students with mixed-method research. For this purpose, an embedded design was used. A total of 353 individuals [AgeMean =23.55, AgeSd = 3.87], determined by sampling method, participated in the research. Data, Dispositional Hope Scale, Career Adaptabilities Scale, Career Decision-Making Self-Efficacy Scale, Career Stress Inventory, and Online Questionnaire were used. Structural equation modeling was used in quantitative data analysis. The content analysis technique was used for qualitative data analysis. As a result of the structural equation modeling analysis in quantitative findings, a protective structural model was obtained against the career stresses of senior university students. The participants revealed several ways to cope with career stress in qualitative findings. The study also examines hope, expectations for self-development, orientation towards activities that make senior students feel good, presence of those experiencing similar stress, positive inculcation, and evaluation of the effects of intrinsic/extrinsic motivators.

Construct validity test on the Indonesian version of Career Decision-Making Self-Efficacy Scale (CDSES)

This study aimed to assess the construct validity of Indonesian version of the Career Decision-Making Self-Efficacy Scale (CDSES) by conducting a convergent evidence test. This version comprised 30 items that measured individual confidence in making career-related decision across seven dimensions, including occupational information (OI), goal selection (GS), self-appraisal (SA), school achievement (ScA), problem-solving (PS), social support (SS), and planning. Despite passing the content validity test, CDSES-Indonesian version lacked psychometric properties in terms of convergent evidence. A construct validation analysis was carried out, incorporating the NEO-PI instruments developed by Costa &amp; McCrae in 1992 into CDSES-Indonesia version. This study involved 211 respondents, including 123 women and 88 men aged between 17 and 35, all being university students. Google Form was used as a platform to distribute the questionnaires for the two measuring instruments to the participants. The results showed a significant relationship between CDSES and personality traits. Four personality traits, namely conscientiousness, openness, extraversion, and agreeableness, exhibited positive correlations with CDSES, while neuroticism showed a negative relationship.

Development of a Career Decision Making Self-Efficacy Scale for Comparison between Japan and China

Development of a Career Decision Making Self-Efficacy Scale for Comparison between Japan and China

How do personality traits influence adolescents' career anxiety and self-efficacy in making career decisions?

The aim of this study was to search for the links between adolescent career anxiety, career decision-making self-efficacy, and adjective-based personality traits, as well as to see how predictive adjective-based personality qualities are for career anxiety and decision-making self-efficacy. A total of 710 students, 511 girls (72%) and 199 boys (28%) from various high schools in Istanbul, Turkey, made up the research group. Predictive correlational model was used in the analysis of the data while Career Anxiety Scale, Career Decision-Making Self-Efficacy Scale and Adjective-Based Personality Scale were used as data collection tools. After providing the normality assumptions and checking extreme values, data analysis was carried out. Standard multiple regression analysis was performed to examine the predictive potential of personality traits based on adjectives on career anxiety and career decision-making self-efficacy, while Pearson Correlation analysis was utilized to determine the relationship between the variables. As a result of the study, several significant correlations between adolescent career anxiety, career decision-making self-efficacy, and adjective-based personality traits were discovered. It was also discovered that adjective-based personality traits predicted career anxiety and competence expectation in career decision-making.

Adolescent Self-Efficacy in Relation to Illness Perception and Treatment Compliance: An Inpatient Study

Non-compliance with psychotropic treatment appears to be a growing problem among adolescent mental healthcare users. Treatment is frequently initiated during hospitalisation periods; however, at discharge a change in the primary administrator of the treatment poses a risk that the discharged patient may become non-compliant. In this study, we investigate factors influencing psychotropic treatment compliance of adolescent inpatients admitted to a psychiatric facility. A quantitative, non-experimental, cross-sectional, survey-type research design was employed. Approximately 170 participants were selected through a non-probability convenience sampling method. The data were gathered using self-reporting measures, namely the Drug Attitude Inventory, the Brief Illness Perception Questionnaire and the Decision Self-Efficacy Scale. The data were analysed using a Pearson product–moment correlation coefficient and a moderated hierarchical regression analysis. The results indicated a significant relationship between illness perception and self-efficacy where self-efficacy was identified as a moderator between illness perception and treatment compliance of male adolescent inpatients. The findings of the study and the gender differences which surfaced may contribute to a better understanding of the intricate processes related to treatment compliance in adolescents. These findings may help to direct intervention aimed at promoting treatment compliance.

Adaptation and Validation of the Spanish Version of Decisional Conflict Scale in People with Migraine in Spain.

We aimed to validate the Spanish version of the Decisional Conflict Scale (DCS) and analyze its psychometric properties in people with migraine. The DCS validation comprised two phases. First, a translation and cross-cultural adaptation following the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Good Practices: 1-preparation, 2-independent forward translation, 3-reconciliation, 4-back-translation, 5-harmonization, 6-clinical review, and 7-content validation in a group of migraine patients. Second, the analysis of the psychometric properties. The reliability or internal consistency of the DCS scale and subscales was assessed using Cronbach's α value. The item-subscale correlation was also evaluated. A floor and ceiling effects for DCS score was considered when at least 15% of respondents obtained DCS >90 (ceiling) or <10 (floor). The construct validity was studied through the correlation between the DCS subscales and by the correlation between the DCS and other questionnaires (Decision Self-Efficacy Scale [DSES] and 9-item Shared Decision-Making [SDM-Q-9]). Spearman's coefficients were estimated for the correlations. The cross-cultural adaptation was conducted on 17 patients who completed the questionnaire in a mean of 2.4 ±1.1 minutes. Generally, more than 75% of them considered that DCS items were adequate, easy to understand, and relevant. The psychometric properties were evaluated in a sample of n=128 patients. Accordingly, the internal consistency of DCS was high, with a Cronbach's α of 0.97 for the scale and between 0.87 to 0.96 for subscales. Also, a slight floor effect was observed, with 24.2% of patients having DCS scores <10. The correlation between subscales exceeded Spearman's coefficient of 0.7. Whereas the correlation between the DCS and the other questionnaires was generally moderate (Spearman's coefficient >0.4). The Spanish version (Spain) of the DCS has very acceptable psychometric properties (reliability and construct validity) and good potential for assessing decisional conflicts among migraine patients.

Evaluation of the SUCCESS Health Literacy App for Australian Adults With Chronic Kidney Disease: Protocol for a Pragmatic Randomized Controlled Trial.

BackgroundWe developed a smartphone app—the SUCCESS (Supporting Culturally and Linguistically Diverse CKD Patients to Engage in Shared Decision-Making Successfully) app—to support Australian adults with kidney failure undertaking dialysis to actively participate in self-management and decision-making. The content of the SUCCESS app was informed by a theoretical model of health literacy that recognizes the importance of reducing the complexity of health information as well as providing skills necessary to access, understand, and act on this information.ObjectiveThe purpose of this study is to investigate the efficacy of the SUCCESS app intervention.MethodsWe designed a multicenter pragmatic randomized controlled trial to compare the SUCCESS app plus usual care (intervention) to usual care alone (control). A total of 384 participants receiving in-center or home-based hemodialysis or peritoneal dialysis will be recruited from six local health districts in the Greater Sydney region, New South Wales, Australia. To avoid intervention contamination, a pragmatic randomization approach will be used for participants undergoing in-center dialysis, in which randomization will be based on the days they receive hemodialysis and by center (ie, Monday, Wednesday, and Friday or Tuesday, Thursday, and Saturday). Participants undergoing home-based dialysis will be individually randomized centrally using simple randomization and two stratification factors: language spoken at home and research site. Consenting participants will be invited to use the SUCCESS app for 12 months. The primary endpoints, which will be assessed after 3, 6, and 12 months of app usage, are health literacy skills, evaluated using the Health Literacy Questionnaire; decision self-efficacy, evaluated using the Decision Self-Efficacy Scale; and rates of unscheduled health encounters. Secondary outcomes include patient-reported outcomes (ie, quality of life, evaluated with the 5-level EQ-5D; knowledge; confidence; health behavior; and self-management) and clinical outcomes (ie, symptom burden, evaluated with the Palliative care Outcome Scale–Renal; nutritional status, evaluated with the Patient-Generated Subjective Global Assessment; and intradialytic weight gain). App engagement will be determined via app analytics. All analyses will be undertaken using an intention-to-treat approach comparing the intervention and usual care arms.ResultsThe study has been approved by Nepean Blue Mountains Human Research Ethics Committee (2020/ETH00910) and recruitment has begun at nine sites. We expect to finalize data collection by 2023 and publish the manuscript by 2024.ConclusionsEnhancing health literacy skills for patients undergoing hemodialysis is an important endeavor, given the association between poor health literacy and poor health outcomes, especially among culturally diverse groups. The findings from this trial will be published in peer-reviewed journals and disseminated at conferences, and updates will be shared with partners, including participating local health districts, Kidney Health Australia, and consumers. The SUCCESS app will continue to be available to all participants following trial completion.Trial RegistrationAustralia New Zealand Clinical Trials Registry (ANZCTR) ACTRN12621000235808; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=380754&isReview=trueInternational Registered Report Identifier (IRRID)DERR1-10.2196/39909

대학 운동선수들의 은퇴불안, 진로결정 자기효능감, 진로준비행동의 관계

Objectives The purposes of this study were to investigate the structural relationship model of retirement anxiety, career decision-making self-efficacy and career preparation behavior of athletes in college. Methods The participants of this study consisted using of 415 athletes who were more than 18 years old with more than 3 years experience of competition. They were assessed by retirement anxiety scale, career decision-making self-efficacy scale and career preparation behavior scale. The evaluation questionnaires were modified to reflect the circumstances in Korea and underwent a validity test prior to translation. The data were conducted by descriptive statistics, confirmatory factor analysis, reliability analysis, correlation analysis, and structure equation modelling. Results First, retirement anxiety had no a influence on career decision-making self-efficacy. Second, retirement anxiety had a positive influence on career preparation behavior. Third, career decision-making self-efficacy had a positively influence on career preparation behavior. Conclusions The result of this study suggests the need of developing programs and providing necessary support aimed at improving college athletes' decision-making self-efficacy and career preparation behavior through career counseling and education.

Development and testing of the career decision-making self-efficacy scale for nursing students: a methodological study

BackgroundThe conventional Career Decision-Making Self-Efficacy Scale does not reflect the situation in Korea due to different sociocultural attributes and fails to account for the unique nursing profession and changes in healthcare. We aimed to develop and psychometrically test the Career Decision-Making Self-Efficacy Scale for Nursing Students.MethodsA methodological study using a newly developed questionnaire tool and investigation of the validity and reliability of the preliminary instrument. Data were collected from 400 nursing students through an online survey conducted in May 2021. We identified 56 preliminary items through a literature review and focus group interviews. Of them, 40 were completed with a content validity index > .80. Content, construct, and criterion-related validity; internal consistency reliability; and test-retest reliability were used in the analysis.ResultsExploratory factor analysis revealed three factors including 21 items: adapting to work (20.5%), understanding the major (20.2%), and goal setting (16.4%), explaining 57.1% of the total variance. As a result of confirmatory factor analysis, 17 items in the three-factor structure were validated. Reliability, as verified by the test-retest interclass correlation coefficient, was .86 and Cronbach’s α was .92. The final Career Decision-Making Self-Efficacy Scale for Nursing Students consists of 17 items: adapting to work (7 items); understanding the major (4 items); and goal setting (6 items).ConclusionThe scale developed to measure the career decision-making self-efficacy of nursing students showed sufficient validity and reliability.